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Individual

DR. ROGER A. LAIRD

Active
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Individual

DR. ROGER A. LAIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EDD

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0487
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000261031
BCBS PROVIDER NUMBER
—
01
—
000000787401
BCBS BAPTIST HEALTH
KY
01
—
0487
LICENSE
KY
05
—
89000202
—
KY
Enumeration date
09/17/2006
Last updated
07/11/2019
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